Correlation between Cognitive Functions and Activity of Daily Living among Post-Stroke Patients

Abstract

Background: Cognitive impairment is one of the most common post-stroke complications; however, neither patients nor health professionals are often aware of this complication. The impact of cognitive impairment on quality of life is reflected through basic activity daily living (bADL) and instrumental activity daily living (IADL). Prior studies concerning the correlation between cognitive impairment and activity daily living has shown contradictive results. This study was conducted in order to analyze the correlation between the cognitive functions and activity daily living in post stroke patients at Dr. Hasan Sadikin General Hospital. Methods: This cross-sectional study was carried out to 23 post-stroke patients from September-November 2015. Samples were collected through consecutive sampling at Dr. Hasan Sadikin General Hospital. Mini Mental State Examination (MMSE) was used to assess the cognitive functions and Lawton and Brody Scale to assess both bADL and IADL. Spearman correlation was selected to analyze the existing correlation between each cognitive domain and activity daily living. Results: Spearman statistical correlation showed an insignificant correlation between the cognitive functions and bADL (r2=0.181, p=0.408) and a significant correlation with IADL was obtained (r2=0.517, p=0.03). The only cognitive domain positively correlated with IADL was orientation to time and verbal recall. Conclusions: There is a correlation between cognitive functions and IADL among post-stroke patients at Dr.

Relationship between Performance on the Mini-Mental State Examination Sub-Items and Activities of Daily Living in Patients with Alzheimer’s Disease

“…"Responsibility for own medications" is an item related to the management of daily medication. Previous studies have reported that "orientation to time" was associated with "responsibility for own medications" [10]. The results of this study also suggested that "orientation to time" is related to "responsibility for own medications" in patients with AD.…”

“…The various subitems of the MMSE provide useful information about the order in which individual aspects of cognition begin to decline and the progression of AD. Prakoso et al [10] examined the association between the MMSE subitem and IADL in post-stroke patients and reported that "orientation to time" was associated with "responsibility for own medications" and "ability to handle finances". In Huisingh et al [11], the MMSE sub-items were used to investigate the factors that contribute to the risk of driving accidents among the elderly.…”

O Uso De Dispositivos Auxiliares Para a Mobilidade E a Independência Funcional Em Sujeitos Com Acidente Vascular Cerebral

“…Confirmando parte da primeira hipótese deste estudo, observaram-se diferentes níveis de independência funcional entre a amostra (18-126), com preeminência de sujeitos dependentes (81,8). Esses achados corroboram com outros estudos com AVC de ambos os sexos (PRAKOSO;VITRIANA;ONG, 2016;RIGBY et al, 2009). A diferença entre os níveis de independência funcional entre os participantes pode relacionar-se ao uso de diferentes tipos de dispositivos auxiliares para a mobilidade, assim como os altos níveis de dependência ao uso preponderante de cadeira de rodas entre os sujeitos.…”

Correlação entre independência funcional e cognição em homens com AVC

“…A média da cognição (16,63) mostrou-se abaixo da apresentada por um estudo com sujeitos com AVC de ambos os sexos que se utilizou do mesmo instrumento (23) 21 . Essas diferenças podem ser explicadas pela diferença nas médias de escolaridade dos participantes dos estudos, respectivamente, 4 anos e 12 anos, visto que a esta é considerada fator determinante para um pior desempenho dos aspectos cognitivos e funcionais bem como para o retorno às atividades cotidianas 5 .…”

“…Contrariando esses achados, outro estudo que se utilizou do MEEM e da Lawton and Brody Scale não identificou correlação significativa entre a cognição e a independência nas atividades de vida diária. As divergências entre esses achados podem ser explicadas por diferenças nos instrumentos, já que o Lawton and Brody Scale não é específico para a avaliação da independência nas atividades básicas de vida diária 21 . Essas correlações eram esperadas tendo em vista que comprometimentos cognitivos podem interferir na atenção, memória e organização do pensamento, alterações na linguagem, incluindo dificuldades para falar e produzir palavras de forma sequencial 9 , ocasionando impactos no desempenho das atividades de vida diária.…”